HIV/AIDS, TB, and Malaria: where each service is provided in Ethiopia, and who pays
61 services in the HIV/AIDS, TB, and Malaria programme of Ethiopia’s Essential Health Services Package, of which 50 are free of charge. A tick means that level of facility is expected to provide the service.
Source: Essential Health Services Package of Ethiopia (November 2019), Annex II, Table 19 — Ministry of Health of Ethiopia. These are the services the package says should be available at each level of the public health system, and how they are paid for. Availability at a particular facility can differ and fees change: confirm before you travel. BinaSmart is an information service, not a medical provider.
| Service | Health post | Health centre | Primary hospital | General hospital | Tertiary hospital | Payment |
|---|---|---|---|---|---|---|
| Targeted BCC for the most at risk population and vulnerable groups HIV/AIDS: prevention | ✓ | ✓ | · | · | · | Free |
| HIV/AIDS BCC for the general populations HIV/AIDS: prevention | ✓ | ✓ | ✓ | · | · | Free |
| Condom distribution for the most at risk population and vulnerable HIV/AIDS: prevention | ✓ | ✓ | ✓ | ✓ | ✓ | Free |
| Prevention and treatment of STI in the context of HIV prevention HIV/AIDS: prevention | · | ✓ | ✓ | ✓ | ✓ | Free |
| Targeted quality assured HIV testing and counselling services: self- HIV/AIDS: prevention | ✓ | ✓ | · | · | · | Free |
| Targeted quality assured HIV testing and counselling services: VCT HIV/AIDS: prevention | ✓ | ✓ | ✓ | ✓ | ✓ | Free |
| Targeted quality assured HIV testing and counselling services: PITC HIV/AIDS: prevention | ✓ | ✓ | ✓ | ✓ | ✓ | Free |
| PMTCT HIV/AIDS: prevention | · | ✓ | ✓ | ✓ | · | Free |
| Voluntary medical male circumcisions HIV/AIDS: prevention | · | ✓ | ✓ | · | · | Free |
| Post exposure prophylaxis (PEP) for occupational exposure and sexual HIV/AIDS: prevention | · | ✓ | ✓ | ✓ | ✓ | Free |
| Pre-Exposure prophylaxis (PrEP) for FSWs and sero-discordant HIV HIV/AIDS: prevention | · | ✓ | ✓ | ✓ | ✓ | Free |
| Ensuring quality assured testing of all donated load for transfusion HIV/AIDS: prevention | · | · | ✓ | ✓ | ✓ | Free |
| ART (First-Line Treatment) for adults HIV/AIDS: care and treatment | · | ✓ | ✓ | ✓ | ✓ | Free |
| ART (Second-Line Treatment) for adults HIV/AIDS: care and treatment | · | ✓ | ✓ | ✓ | ✓ | — |
| ART (Third-line treatment) for adults HIV/AIDS: care and treatment | · | · | · | ✓ | ✓ | Free |
| Cotrimoxazole for children HIV/AIDS: care and treatment | · | ✓ | ✓ | ✓ | ✓ | Free |
| Paediatric ART HIV/AIDS: care and treatment | · | ✓ | ✓ | ✓ | ✓ | Free |
| Additional ART for TB patients HIV/AIDS: care and treatment | · | ✓ | ✓ | ✓ | ✓ | Free |
| Management of opportunistic infections associated with HIV/AIDS HIV/AIDS: care and treatment | · | ✓ | ✓ | ✓ | ✓ | Free |
| Nutrition supplements in first 6 months for HIV/AIDS cases HIV/AIDS: care and treatment | · | ✓ | ✓ | ✓ | ✓ | Free |
| Collabourative HIV/AIDS and TB interventions HIV/AIDS: care and treatment | · | ✓ | ✓ | ✓ | ✓ | Free |
| Screen HIV+ cases for TB HIV/AIDS: care and treatment | · | ✓ | ✓ | ✓ | ✓ | Free |
| ART (+CPT) for TB HIV+ patients HIV/AIDS: care and treatment | · | ✓ | ✓ | ✓ | ✓ | Free |
| HIV prevention for TB patients HIV/AIDS: care and treatment | ✓ | ✓ | ✓ | ✓ | ✓ | Free |
| BCC on safer sexual behaviour STI: prevention | ✓ | ✓ | · | · | · | Free |
| Partner notification and treatment STI: prevention | · | ✓ | ✓ | ✓ | ✓ | Free |
| Provision of condoms to key and priority populations STI: prevention | ✓ | ✓ | ✓ | ✓ | ✓ | Free |
| HIV testing in STI patients STI: prevention | ✓ | ✓ | ✓ | ✓ | ✓ | Cost sharing |
| Provide Human Papilloma Virus (HPV) vaccination STI: prevention | ✓ | ✓ | ✓ | ✓ | ✓ | Cost sharing |
| Hepatitis B Virus Vaccination STI: prevention | · | ✓ | ✓ | ✓ | ✓ | Cost sharing |
| Syndromic case management STI: treatment | · | ✓ | ✓ | ✓ | ✓ | Cost sharing |
| Aeitologic case management STI: treatment | · | · | ✓ | ✓ | ✓ | Cost sharing |
| Provide STI clinical services and outreach to female sex workers and STI: treatment | · | ✓ | ✓ | · | · | Free |
| Screening and Treatment for Syphilis in Pregnancy STI: treatment | · | ✓ | ✓ | ✓ | ✓ | Free |
| Treatment+Detection (smear + Xpert) +Drug Sensitivity analysis Tuberculosis: diagnosis | · | ✓ | ✓ | ✓ | ✓ | Free |
| Treatment+Detection (smear + Xpert) +Drug Sensitivity analysis & ART Tuberculosis: diagnosis | · | ✓ | ✓ | ✓ | ✓ | Free |
| Treatment+Detection (smear + Xpert) +Drug Sensitivity analysis & ART Tuberculosis: diagnosis | · | ✓ | ✓ | ✓ | ✓ | Free |
| Treatment+Detection (smear + Xpert) +Drug Sensitivity analysis & Tuberculosis: diagnosis | · | ✓ | ✓ | ✓ | ✓ | Free |
| Treatment+Detection (smear + Xpert) +Drug Sensitivity analysis & Tuberculosis: diagnosis | · | ✓ | ✓ | ✓ | ✓ | Free |
| Treatment+Detection (smear generally and culture for MDR) +Drug Tuberculosis: diagnosis | · | · | ✓ | ✓ | ✓ | Free |
| Treatment+Detection (smear generally and culture for MDR) +Drug Tuberculosis: diagnosis | · | · | ✓ | ✓ | ✓ | Free |
| Treatment+Detection (smear generally and culture for MDR) +Drug Tuberculosis: diagnosis | · | · | ✓ | ✓ | ✓ | Free |
| Treatment+Detection (smear generally and culture for MDR) +Drug Tuberculosis: diagnosis | · | · | ✓ | ✓ | ✓ | Free |
| Treatment+Detection (smear generally and culture for MDR) +Drug Tuberculosis: diagnosis | · | · | ✓ | ✓ | ✓ | Free |
| [Detection] and treatment of leprosy Leprosy: Elimination | · | ✓ | ✓ | ✓ | ✓ | Free |
| Treatment of drug resistant leprosy Leprosy: Elimination | · | · | · | ✓ | ✓ | Free |
| Chemoprophylaxis for contacts of leprosy cases Leprosy: Elimination | · | ✓ | ✓ | ✓ | ✓ | Free |
| Detection and management of disability due to leprosy Leprosy: Elimination | · | ✓ | ✓ | ✓ | ✓ | Free |
| Long Lasting Insecticide-Treated Nets (LLIN) Malaria: Prevention | ✓ | ✓ | · | · | · | Free |
| Indoor residual spraying with propoxure Malaria: Prevention | ✓ | · | · | · | · | Free |
| Other vector control: Mosquito repellent Malaria: Prevention | ✓ | · | · | · | · | Free |
| Other vector control: window screening Malaria: Prevention | ✓ | · | · | · | · | Free |
| Other vector control: Larviciding Malaria: Prevention | ✓ | · | · | · | · | Free |
| Other vector control: drainage of breeding swampy and marshy Malaria: Prevention | · | · | · | · | · | Free |
| Intermittent preventive treatments (pregnant women) Malaria: Prevention | · | ✓ | ✓ | ✓ | ✓ | Free |
| Active surveillance of cases Malaria: Prevention | ✓ | ✓ | · | · | · | — |
| Detection [RDT] and treatment of uncomplicated malaria Malaria: case management | ✓ | ✓ | · | · | · | Cost sharing |
| Detection [Microscopy] and treatment of uncomplicated Malaria: case management | · | ✓ | ✓ | · | · | Cost sharing |
| Detection [RDT] and treatment of severe malaria Malaria: case management | · | ✓ | ✓ | ✓ | ✓ | Cost sharing |
| Detection [Microscopy] and treatment of severe malaria Malaria: case management | · | ✓ | ✓ | ✓ | ✓ | Cost sharing |
| G6PD testing and radical cure treatment for vivax Malaria: case management | · | · | ✓ | ✓ | ✓ | Free |